Experience

Verisys

• United States
• IT Services and IT Consulting
• 300 - 400 Employee

• Vice President of Credentialing

  • Oct 2022 - Present

  Credentials Verification Organization and Primary Source Verifications. Manage the completion of initial and re-credentialing files for approximately 75+ clients simultaneously following JCAHO, NCQA, URAC and CMS standards. Manage 200 plus onshore/offshore associates to develop staff to maximize potential. Monitor associate performance along with interim and yearly performance reviews. Respond to time sensitive emails from multiple clients. Responsible for team productivity & quality goals in addition to the development operation and supervision of Team Leads and associates. • Lead team consistent with company/client processes and values. Adhere to performance monitoring, evaluation and feedback process.• Ability to manage, coordinate and interact with direct reports and peers in a manner that provides strong leadership, yet openness and free discussion of ideas. • Develop plans to meet short-term objectives.• Set priorities for the team to ensure task completion.• Hires people with the skills, drive and experience necessary to succeed.• Translates decisions into clear priorities and action, overcoming resistance or obstacles when necessary.• Identify and resolve operational problems using defined processes, expertise and judgment.• Decisions are guided by policies, procedures and business plan.• Ability to independently plan, organize, schedule, coordinate and make decisions and judgments relating to assigned projects and other responsibilities, applying sound analytical decision making skills.• Other titles held within the business unit include: Data Entry, QC Data Entry, Verification Coordinator, Team Leader, Training Coordinator, Assistant Manager, Manager and Director.

• Director of Credentialing

  • Mar 2019 - Oct 2022

  Credentials Verification Organization and Primary Source Verifications. Manage the completion of initial and re-credentialing files for approximately 75+ clients simultaneously following JCAHO, NCQA, URAC and CMS standards. Manage 200 plus onshore/offshore associates to develop staff to maximize potential. Monitor associate performance along with interim and yearly performance reviews. Respond to time sensitive emails from multiple clients. Responsible for team productivity & quality goals in addition to the development operation and supervision of Team Leads and associates. • Lead team consistent with company/client processes and values. Adhere to performance monitoring, evaluation and feedback process.• Ability to manage, coordinate and interact with direct reports and peers in a manner that provides strong leadership, yet openness and free discussion of ideas. • Develop plans to meet short-term objectives.• Set priorities for the team to ensure task completion.• Hires people with the skills, drive and experience necessary to succeed.• Translates decisions into clear priorities and action, overcoming resistance or obstacles when necessary.• Identify and resolve operational problems using defined processes, expertise and judgment.• Decisions are guided by policies, procedures and business plan.• Ability to independently plan, organize, schedule, coordinate and make decisions and judgments relating to assigned projects and other responsibilities, applying sound analytical decision making skills.• Other titles held within the business unit include: Data Entry, QC Data Entry, Verification Coordinator, Team Leader, Training Coordinator, Assistant Manager and Manager.



Aperture Health

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Credentialing Manager

  • Sep 2014 - Mar 2019

  Credentials Verification Organization and Primary Source Verifications. Manage the completion of initial and re-credentialing files for approximately 60 clients simultaneously following JCAHO, NCQA, URAC and CMS standards. Client contact on a daily basis and conduct weekly/bi-weekly or monthly calls to discuss issues and progress. Manage 100 plus onshore associates and 75 plus offshore associates to develop staff to maximize potential. Monitor associate performance along with interim and yearly performance reviews. Respond to time sensitive emails from multiple clients. Responsible for team productivity & quality goals in addition to the development operation and supervision of associates. • Lead team consistent with UHG processes and values. Adhere to performance monitoring, evaluation and feedback process.• Ability to manage, coordinate and interact with direct reports and peers in a manner that provides strong leadership, yet openness and free discussion of ideas. • Develop plans to meet short-term objectives.• Set priorities for the team to ensure task completion.• Hires people with the skills, drive and experience necessary to succeed.• Translates decisions into clear priorities and action, overcoming resistance or obstacles when necessary.• Identify and resolve operational problems using defined processes, expertise and judgment.• Decisions are guided by policies, procedures and business plan.• Ability to independently plan, organize, schedule, coordinate and make decisions and judgments relating to assigned projects and other responsibilities, applying sound analytical decision making skills.• Other titles held within the business unit include: Data Entry, QC Data Entry, Verification Coordinator, Team Leader and Training Coordinator.



UnitedHealth Group

• Hospitals and Health Care
• 700 & Above Employee

• Credentialing Manager

  • Apr 1999 - Sep 2014

  Credentials Verification Organization and Primary Source Verifications. Manage the completion of initial and re-credentialing files for approximately 50 clients simultaneously following JCAHO, NCQA, URAC and CMS standards. Credentials Verification Organization and Primary Source Verifications. Manage the completion of initial and re-credentialing files for approximately 50 clients simultaneously following JCAHO, NCQA, URAC and CMS standards.